Individual
PABLO PANTALEON CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1052 SW 4TH AVE STE 2, ONTARIO, OR 97914-2100
(541) 216-6068
Mailing address
1076 NW 4TH AVE, ONTARIO, OR 97914-1625
(541) 216-3715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
03/18/2024
Last updated
03/19/2024
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